It can get better, don't worry, but no one will hand it to you.
If interested, here is my story. I went the employed route. I work for the VA. I like my patients, but many are seriously ill. High turnover job. I started out working 40 to 50 hours per week outpatient and C/L, including overnight call to the ER two weeks per month. Around 13 outpatients per day, and a couple of consults per day, maybe one 3 a.m. call into the ER most nights on call. Started around $230k. Got burned out, suicidal even, from the sheer amount of bureaucracy, patient acuity, paperwork, and expectations after 5 years. I suppose that makes me weak, but whatever. I didn't let it affect my work. I got a raise to $264k, benefits are good, but I was still in a bad way mentally. My supervisor got the MDs out of doing call, trying to keep MDs from quitting. I was appreciative, but already very burned out, so, I put in a 3 month notice, got another job lined up in another state. Better than the alternative. Got asked what I want to stay, they told me I'm extremely effective in my role and want to keep me. Asked me if I want more money. I said no. I asked for telepsych only, no more consults, no more call. I expected nothing. I got what I asked for. So now I'm doing ok, 40 hours per week telepsych only, 4 days a week, 10 hour days. Much less stress. Then Corona happened few months later. A few colleagues here now have said I'm smart as a result (they don't know about the severe burn out part.) I'm very grateful but I also stay alert. Nothing is guaranteed except change.
